| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,827.50 | $13,827.50 | $13,827.50 | |
Cigna
| Facility | $20,962.49 | $24,106.86 | $39,107.49 | |
Medica
| Facility | $7,334.14 | $8,185.88 | $18,983.50 | |
United
| Facility | $7,334.14 | $8,185.88 | $19,362.91 |